Tree-in-bud appearance - endobronchial spreading of pulmonary tuberculosis

Case contributed by Dr MohammadTaghi Niknejad

Presentation

Chronic cough and respiratory distress.

Patient Data

Age: 55 years old
Gender: Male

Cavitary lesion with decreased lung parenchymal volume is seen at right upper lobe . Alveolar opacity is noted at lingula segment of left  upper lobe.  Centrilobular nodules with a linear branching pattern also seen at both lung parenchyma . 

Case Discussion

Centrilobular nodules with a linear branching pattern are consistent with  tree-in-bud appearance in a patient with endobronchial spreading of post-primary tuberculosis. 

Related article

PlayAdd to Share
Case
Full screen case
Case with hidden diagnosis
Full screen case with hidden diagnosis

Case Information

rID: 21036
Diagnostic certainty: Probable
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert_accept

Error Unable to process the form. Check for errors and try again.

Alert_accept Thank you for updating your details.